Loading...
HomeMy WebLinkAboutPesci (2) '10 10 ,/1�® VY _.:0)tea' ,, :'a s JUDITH T. TERRY - : � Town Hall, 53095 Main Road TOWN CLERK cza, r P.O. Box 1179 urss>' Southold New York 11971 REGISTRAR OF VITAL STATISTICS •- ��� Fax (516) 765-1823 MARRIAGE OFFICER ,��' Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ®1 .: r. 1.l FREEDOM OF INFORMATION OFFICER �'�01011,1 I OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1177 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WEDGEFIELD COMM. DEV. CORP. Address 1 : 35 TIMBERLINE CIRCLE City St Zip PORT JEFFERSON NY 11777 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-94-0059 Name Of Owner PESCI, ORESTE Mailing Address 1 34 KINGBURY ROAD City St Zip GARDEN CITY NY 0000 Property Address 1 GEORGE STREET City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 4 lot 17.000 Cross Street FRED STREET Building Permit Number Cross Reference: Issue Date: 8/01/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,„„,„...,„, / 77 4161 If JUDITH T. TERRY °� Town Hall, 53095 Main Road TOWN CLERK 5=0 r P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ‘ 5 Fax (516) 765-1823 MARRIAGE OFFICER s!� �® 0$ Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ®1I° FREEDOM OF INFORMATION OFFICER :�� �ir°ol� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 29, 1994 Transmitted herewith is a copy of application No. 1221 for a Cesspool/ Septic Tank Construction Permit submitted by: Wedgefield Comm. Dev. Corp. for Oreste Pesci • Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: �'o ®J��rr.G c � " 0.9 —6' Signatu5„o, 401 Datecj . ) ti OFFICE OF THE TOWN CLERKc°FD� - Town of Southold 0 '•°'- CD - AriJudith T. Terry, Town Clerk Application No. 49,Q-7 T•iwn Hall; 53095 Main Road c=3r3r� Construction P. O. Box 1179 � ' J Alteration Southold, New York 11971 Residential Telephone -�l 0-e' (516) 765-1801 '" Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $/O.&0 • DATE 7/2-7/q/ APPLICANT NAME: wap ptCro ►m , ��U , G(36:25:), APPLICANT ADDRESS: ,,,,,•K ,.A„ivg, COL c,?_..sbly t&_y . 1 ( 7 77 SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION S //v T)W ALL( /VG d LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: R - ' 1 ) R e-s- OWNER MAILING ADDRESS: ? g )N• G` u2_,y Ny . OWNER PROPERTY ADDRESS: Q„.„-524., gI j Cw TELEPHONE NUMBER OF CONTACT PERSON: -S-51 -- 1.S11 TAX MAP NO. :- Section I 1 Block 1 Lot 1 —7 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant .0 • RECEIVED BY: owl), Clerk's Office • DATE: / (7/ ...... „, ! - ^.--, -,',,,,%...;k1V,',2"\.,--•.-v4,,,„--;-^ ,.,..,"-,L^s,'.. .,,i•.-!','•::_!^,:‘-,-.4.,(5,1,1E.LL..".,:;,,.: * .i. ":,i,1-,,,,;-:A , -*. \--,-V,r,-'' •*,;,24 - - - ,.•-; ;'0, ', 2* --• , "t' ''--.. - .'"- ''.''." -'.:•:`L-:':'^-:'-''-‘:;; •s?'-'41'...q''il-Y':-.-Yiti4-4":‘:;:,:11.1T<ig*,,,,A:1*'''q:,...f 42a."''L7r4I-:::";%17-1C='°'--_41'4',';:).'-i'.:*"-;.'iliit.';:iii'''::;-;:.--Z-;TWiT'.:f.".1;.11;1..Z‘si*Z 4:'-':',.-A['f'2'-:-;*:•17,-‘4-*j A:4:ZA 'Z':-.',•"-rir-",'-i'',-.V;t;.;-,7 22;,S1‘,1*.-:x*e''' '•;.C.---'-':''41-•;:.:2.;-.-Z,*;"":',*?•-••••••'?4-a'''-:*.'r,;, 4',,tS,'-;',_,.. ,-*ap'.,:r*;F'.-i:V A''''.'ti r..iiiiiiiia.1,=J-.• -- -4, ,,,,-,',..:1--.z.i..).,-;0:;',..:,;-;,..,.,,,P,,,q,,,,-.54---..t,.,- ,,.4.-0*-.2,_-...Q-1.--:,-,-,:-,if,-A$7,-,..,:,:,,,,,,:,z,,,..c,,,,,7',,i,-,...,,,,„7,,-,,,IzO.,:,..,,Ve,---,4.-,i,4,-...j.,,i,r1W1,-,-,::,s,,----',,,,;,,,,...,.,-,'J.,i,4:,-,1,-.:c.-;,,,,yi:, -,:;„;,,*`;',.-g-,-41,,,iii--,,-tii.e.,4,-,-1„-4-,',6_torr,,,,.u,,..3,,i,4 ?-,,,,.,,,,,•,,,,,,,tr,,,„,,,,,,,,,-4-,,,„,-;,„,„-z.-rft,*-,,,,,i.,,4„.-.„ ; . -itt • ,.' ';,,,1,!,3::,!4,..,;2_!=^,g,7:1/J. r240.1‘,,;!-VRie‘y•V,.?;,,ASSRF..i,,iti,!4v'40,4!/#_.1i44,M-K,e^*'..f,4)"/.1-P.41',N.5:-A,'fil',-,7; !,,106,,-..1!!0,t^'4i4,3/,.!`-,:ie.A aeoviA,-,!.I,„,-I,.id+.-.,:,.-:,tc,.1,•?7,,.,• ,-40,R_:,,,N,cmo,-, ,4,•-i41-,',.: 14,-rx-.4.,,%iir`T-iiv•Vt -4.'lge4,'",,,PA7.•,-t*,-_-:14--3'4-e,-,--r.I-k 'A-7! .. 47 -I- At.• =i:: .1`, -, ."., 5-il'ir.'T-4,V,'?,..c' 1-;44Ii'4.S.ificktei35;e41.41tii: -.4*.v.:Y\1*-141a#ACtlit4itr;e147§.:; `.,-:- .1":; /,,,,650'-{,11e:';''IY,;:li'Z":ft;24I5 4::;:7';'"''$r"-V1,,.: ; ',,A,V,-.1._%il,A,;:F4!,1.411,1',4"8'';''';'*-:,,V, ,,T,;';Iir6414,:".2>,C ,/:'!,;:elkIt.;.‘1,7,.'i,::':,',. -'l• 3.4-: In, .---! '2. '4',:::F&N,4:45,1„;:,,!,,! tAs,..4s:zi!,,,,,, y, 7ViNt,„, ‘,41,i,;,*^;,, AO*,•",-„,,,;-....rr4,o:::--rhY::?:,„g„t:,4-,,g,: *,-'-)r--zr,z-=f3,--q ',4'..F::fil,,,v,,--,,,,',1 .,‘,f;hc.„ii.1.,F.,,,,,,,.1,..- *-,,*-,?,,v;lt-evi,z;:'k.,:-;-:gioi-fp,,,,. -...w.,;,,,:„.1„4-:',11..,,ti,-.gt•:,%A.,,,,,,,:.-4-,,.6i, tr.-..t.-,,,= .1)4,,• 1,, ___:,_-_,..„,..—,-- ,..i / ,;,,,,,,,,,,,,,,,,,,,,,,,,i,,L.,..t.,,,,,,,„ 4.2.,,,:.kzw--,...7-4-.-1„,t ,....-...v.r., ..64- 1,-. ..4,,K.,,,-21,,,,,ee.,!"44.,,,f4.,.v,ii...„;:^,-." ';!%,,, ".c":,",-„,,..k,L,.',,,it., „,ig,/,,,,,,,,„ 0,.,,..1,3.i.._,-61.pfLp , ,?'47.,,,,,IgA 4,,,,,,A,j,%,:q;;-„,„s.4!!...„0,..-;$,!„.,^;-!,,,41,!,,,;!..,-....f,t,,,,,1,:t K,,,,,,„--3.411,::,,w,,,, Vc,,,•k.1.,,-er,.,,,-, -,_,- 1,1.7. 1C77-,,,,,,,,•.;..„,, , 1, S'...74,);"1,'41,f,;^'9,:l'",q,*2'41:,,,W ''W,,/' '.'-'12''''',."':;.;;-'..**F'..,,...k.,,..:';=,t,*1:4,..,''''''jii`?P' -,,--4".,-.^.-,.'4,'„*'''''',,-,_^,7':,,,z.'F,',:','titt--4,•)!,--1,-'74.44-gt7-1',.i.-'4i'''-',:!'ek-',1,:rti-..1',.'d,. ,^',,,fX311.1,,.:;,!.^:',,-,1z!-,P-rj!V<AI,:•'-'-!,F4';',--'^','^e'L'Ir`.",'-',?:,,,vt,!',41 '',)'...,-,.-I ^.;;7'..".,.-;,:, 11 ii.:.-, ,. ••.,..1- -.., '''kl"?it'''-'-'""!--1-'41-VI ri-q4.1''''',1'^'' -'"4 ' ' ''''t!"1--`-''' ''-'54;g-''''ki''''^-7--- '"---: 44%!-1'-,.,-",'' -'L.- •''''4'Y-^i---'-`1114^;.!'''-',''-',3t1'^',1,', ''^' ' ''',.'-`-'4"."'"-.fi:':2--Q,a ' ;,...--„;',.,,,,,..,.^^.1.-,;:kijRA,.,-0:,.,:,,, ,,.4!,,,,4,---!---t",- ' „: ,,1 i. ! -• I, .,:„,;,,,g' - _ ,.4.,,-.^, r‘k,,1;,,,',41:4!p!r-A4;`,5re%'It;--,-,.-.'., -,i.4,..4.- • ,-*4,4-...-,14 ----,:4,-1,,,,,,,,A,--P .,-40,,--`,,-.;,:._- .-'„.,- --,'-..1.---- .----r;,:j,...-;.-....,-- -,,,.i;s\.!-:0.-..,4,-,----,,,?,,,, x,-,.,.. -,--,..t.„1.trr..--, ,,,,-4,*.-,,i,,,,;14,y..-,A1^...-A,,,4?.--i,,,-, --!•,. 4„;.. ,!„;,_^., :- -•. • ,c. f kts..,, ,L4'.,,,zi.X.t..,,:,4t^:.,4,,y,,.&,0,/,ka,_," ,,,,,,k,,,,:,'.-tr4_,,,g•-.1:yof,,,,,,r,,.. .,:,..,,,,,,,....?..-,-1,-..itm-,-1 wi.--:::.-•:..'..',...., ,...._• --.14.•;14:,..r.-y,..i-.:,,, ,,I,-it.7.,-.7_,,t,-,,, .,,,...... iv,,,,,,,,,p',;-,,,?-g„,,,2.,:.; -„$,..K!Ord15,..,A,...:,."-ii,''„c,7ity.1.1,-!"4,^,,,,,T3,..--P'4, --. 1•;,z^tAA,;(,,, e . 1 .. . ','. F..-,x-...7.- -1;.;:. 4.,-9-,*„--,.t4,3„,------ , ---avi-•-•.....„.. •,-_,•.---:...4.,•,,,yF•:.,/p.:.,f.f•:-.:%..._,..,,,,...,-.,is,•.;•..,i:.--,im,.„.,.,-ltf.:6._,_•_g"..,•.:,,..v,,I„,,;_ .,.,:m -,4i,•-v._,74i,-,-,-.-;t,cT--,,..•i4-;.,,t,-„,.;$,.,•-,,, ,i'•,,--,. ',4/,-'•'-'1,:riPASs4X-A .'14.14:'g:',t--4-t-ri.,,,,LIV;.*'-',-",.:.•---:-" ••. .11, --,b.,.--A.. .?6•4."'!;!•`:',-`r. ,. kr `="x--''''Fg.,:..:el,g..„',,,,FX• --*.,,,'-r`:!:*..! '''..,,,'ir'°'-Vs.- 'th-41-4..;;--.1t!I i,,.li*- - '7-4..thi.^‘, ./ --''.+-7d4c,ti", ,- ''''':-`1,..:'-',''.'f'-',',..4t7,.,ii...,!4 .74,',.-, t-',',.(-.!Li':40.77.t.:..:L-r.-ir 11'1',, '„,'/,,,14,1..,"-;z!".-,!, ,-,.,,,01^,/^,4.-f„V",,J.,,,,,"4,-, ,.f.,.,„ ' , - ' 1, ,;,-..,,-,2itin'ilif;,..,.,,4,,.:, ,i,';;;:.;',' 1,' ,,11,ft11,,r,,I"V,:: 12-4147,:iff" - difq ';',--,r- `.:'''',--7-'..X.,:;s--..;;,:',•:Y^t4441,4,ki..0.0,.:,.:-..74 1•`,''''';'.r:'-f--'44.^ „,--,',`'!°.-'12N`i'zi;c"'V-^-.ii--1:),'..=-;-,4%=`N.,CV,-,;-::A,:f.';',',:44i.„-^^-;,,,,,,•!"8 1,8c,':2-8Xit.,,,37., "si.5'it',., ,,, ..--'-'1 .V.- ! !!i'si•':1F43^1^4, :,-.3,*=-,1.,..^v.,!,,;,-,-•-• ,.,,,.. ..„,,,,,-; . ,,,i ---,.... •1.- . it: ‘-,,-,_,,,,c - f:;,,;,!_^,- .1,:?.,•,:j,liA,I.,,i.,,,,4-c:,410 .14.,_ *,--...,,,.I.;`,.4,-•-(.0,50,, .-*,;,-ile4.,f tziikAk4-i-3,`,'11.1?-^,TI-At:'-4':_"..4/1/V.•!„,,,P-,-;ri,4^:-\i-- "r.?.- .1. - -,,,,p-7,,,•:,--%-w,,-, .,,.., 2,, ,!... t - c,..-4.,,i.: ,,,....ivi..,,,, ,o-kp. - , c4-:.f.-.-,;;:0,,,,-1 4,„"A4.,1,....,,.!,t,.*Z4,,,w4:-,,v.-21,!%f, i •-•,,.-.. .,-.,-.„: . _"-,,..„,„ ,,,„.,,...:„..,,, ,,,,,,,,,,;,i,..„,...,,,„...,,,,,,„ .,,,,..„.„4„,..„,„,...,...,,,,,,,,,,-,,,,,„,.„,.„,,,,,,,. ..,. ,-;,, c, ,,,..,_ .._ • ., n'l'''T-14 :44% •?"` `.'- ;--fl-',.'''4;7:''''''''''''.125-^i-2^1 ;"''-2::1:4'",_'-''''-- " et; ("^--':,!;;^'-!tAe3t,s-'.)" ,i--.), !ll'!. -.:'-...":::;---t:-.5-,1-.;',91-.z.z,,,T,V.,•j,,,,,,!;,,,tqcs.7,14,s;17:;",..'.,:.7.1 4,, :•,..lb , ,p, ,i-,a-,,I.4 , - • - - - -,1: .', .,. ii,t--, i,7,4--t ,,!...„,i.,,DP..,,,,,,, .J 't.".,-;, -,Pi -,;Z!,,,itly;?,!;:c,q..-"--,^%,-Fri-- -,^!,--!-?!-s;.).;-4514,•;,-;,.-.,,A!.!-!.',- .1`,/•,=,,, 1....,..1,14,...t,;;!,,,,,k.;;-.:4,,,,,e;f,,k,!!;,,,,..„ft,:,..;7,!`„,"?:-;k A ,i,,:..,;=2.c.51r:.-ilk,k!,3-kPc.F,',V4-,,..:,,,,,,.-1`.',,,:,..Y.,,,72;":',,. ,?...A, -il ki-,,4-4,_.,,ef-....4..•,-- 1 ,,-.4.4,;., , -,..-,...,,,,z!„,,,,,.."---...,. -....,- „„k ' " r :,-, :',•?.,',';'''-'-'-_,-,-;`,7 -4' -,'--:•-' -t-'•-'22 .,•, A-,-1% -• '1 7,-;'-''42.:1::,,...:- -- --- -.;^;?"-"-./1,....!,!P^4Y,N'.7,-q:r.''5Y."'"•'4:';`-,:":':',. '/'-f- ,--:-!,-;_^,--!:' ..-: -,.A.:•';',:^:-.‘,";,!!!-•;-1,,;,1t,1-,:t:3",::::.?,,,,,,,r,,,Tat'A:;.'`,11.11.., ,,z-,,,i; ...,,,d.-;;„-Z,-,7",,?&T.,,,,,,!:.= . - -- .'-:-:,^•<,;,..--?- ,-!p:'.-"-f-l'=.;,Z . ,,f,1 i::....-_,Isakt,, ..._"4•.....,,_ ;s.. _ - • .M.:„Z91,0411,..p.', 1,-,'4,4,i1 ,' ;;,'"7- : ::.'.; 4r4-..4"4.1,.:1• ' ' 'ec(,,e,-x; 1,-F.''.,i,,„':":',f7:'-'':''''-'-1 ,, , ,,,,,,.,,.. .-, , -' . . ', ±r;',,-:'-;,:::.':' ;":1;,':el2,e-:.1-'F:'-i'AQ.*::;`.',47.1;Zak P:I LS:t'l . ' i .. .- -,•-•••, •-•,,•-• _, -,-.- - -," u ,- •---• r*.'"-- -- ' 0-,r1"-":.'-''^;At"--'7.--'4,,,'I''''-`-'•- Cr..001.. , r' - -' • • • • -• • ' ' '•'. '"••'''•'r rr;)" _ ' , l'•,3'.;,..-•1•••;•:'.h••'1'.':;'!'-'•':''', IROR7,140, :..., ',• • ••,",,••:,••••. 4.1.' ' , ,1' •:,...;:.,,,-,','::,11:1„,7,..V,r.;:•!1,_:•.:15-";' ' - •‘!..';(f •' ,'-' .:•,-...•-r'',"•':,;$;i•r.'6*7.*'.7't,P3,4&li!"Xik 1,,-,,...ri-ir,(i•L'Or.r.i .,:r....711 , •'•'‘',- :• ' • '':••,11:''•q c•r'''rr.':,i'"'•'•rrki,C1;"C' rr•.;;'1•4''',N,2*, ,r.f,t(chf I -,`” .- -!' ,,^,t ...-''1 '.1''' , • ' ,..,, ,,,,-^, . -,, -",r,-.7,.. . ,: - .^-.;^.!' •••! 29 , -!. .-,,,,•. '‘.,‘....kZi.,'.•":,- _- . ',',"^:,-,;.'-',:i;;Vt.,''-.X3'-,;:::?",:,-"-'s' ,•'•,‘.., •••':?•A - ' . _. ,••••_,,,,,,,,.,,-,..-. ,,,,--„,_,,,:-.4,::.. ,A••..: -•-, - . __- - ,- . • - ' '---'''''''"'"7 ----- %---Aff,4 FOLKC. 1 i'' :',i.7;4..,W41.4 - , ; u 1 -0 lb- - - ';',:r;r:',";;,•..,:', . - - '\ --', • ":,,,,,',.:`4:.,,,4.•, ,,-: _f•, F. --' :,---^,,.-',..-fl!4:-;'5'''', !-^,,` '''' ?P.-Sv_.!^--':::•"1: • 1 .- 1ELL \l‘ /\ I' ' '. - 1-s ' •'^' "f::!^! :,,.tt.1,^1'.-.•,,, , , . ' „. _. ., . C:$ . W ! ,/ -- - _:,.. •i 3 0_ V 4 v.,4. OWNERS:ADP • U. • %. '/ ‘\ d- 01 - , ePOOL-,,,;(7„ , a 9 - , :: / _ '::. • g - ,-- ----'-'," 17 1 ,. . - GAO • — 1 ,... .r: 1 --i . _ 1 . ., ____EiCP:t.40LEt4i-5.101..:61-sa“.17. ,._ 1 • . I z . +.6.4 --' "? .0(13,....& ,4' t-ri . I ',1 ------ „ ., - NRE/1.'15000-SakzFT, - ! ` ---r 1^‘ 2 50 30\At 100 0 ' I BuIrLIED 4 - • ' - -Po---6 9 , ..., - • _-_, , . ., . \ ! , ".---;, . , I -. "t DEED..:!..14•ZSoi.,44.4 i ." . .-. . '..• -,- r . ' , N. . " '''..',-7.71-','-'•'• — ':,..;,-:=•-.4:: :.•..... "., •......_ _:-„,..-,,:,..?: . .,,,,,, gcam I ' ' ttqVitACO , ,T-4. oste.:1-4 OR-5 ' , i - '.2.' '-„-,---.:, -!-::: . . ..^ - ..,-_,;;•.;ifigialu , \ JUN 16 1994 - - , 1: - E*01-- , , .._ , , :. .',,„ •' i . , . , . , ,, ,.• -i4ozoWt..4 . DEPT.0F OF . ,.• -crsej4.Pi!t. , 1 -,,,...,: uva 11/6.\P . OF PROPERTY -iiiarEl . . - stir(sAt4 ._. _ "1-EtIVATial-.45 gEF EQ.TO MEAN'51.1EA-1-11.2"SVER8ILIC:Es '', . _ _ __._____ 1 • , ..-------••• r- r ,. _ ' 1.61213FP r--,, ,, 1,—-7.- E•I •, PE 1 : , . , . , ',f114E"..rit 1 e.L_,) ---__) L-.1-.- i • '''----1--- _______ ----`s' , , .1 , . . , • -- -....",..:.-COARSeS0 1 - P.,,T , .! . . . , ,.. I ' -, -77: . , NieV./ SUFFOLK.-rOViN QF SOUTHOL.0 , I .r^.11. - • , PLEASE NOTE • ': . ‘- .• ' itiOrtr he 4. . AS SURVEYED . ' _ _ ---------..—t_ , , __ .._•„_, Fit4E-s- - TUYL..,P-C ''; -.' .;,• .- .- °W.,425el it is tapplicant's resDors'`,tolity to .t,. maintain adequate sanitaryi, t 'lanceLICENSg0 LAND - - 1.,-.1,!‘ones.!, p!! In!.!::^i^pr sttrivilv arc :ev,/ape SURVEYOR.1rop ,, - ' SUFFOLK CO.HEALTH DEPT.APPROVAL - • H.S. NO. WELL - �C'POOL INNOW ONLY ? i5.,,, VAC. VAC '- pATE OP APPROVili STATEMENT OF INTENT THE WATER SUPP )f AND SEWAGE DISPOSAL ustE2N® iex. SYSTEMS FOR THIS RESIDENCE WILL \ , ��� y�;+2 TEST HOLE `�+o �,p J 1` �TqC- CONFORM TO THE STANDARDS OF THE • `1/y`` 1 W SUFFOLK CO. DEPT OF HEALTH SERVICES. HOMEMAoE 8U21EDQ I y` w� 11r UJ CIQ I• (S) • r, S 72 5C`3C E Z¢� 100.0 3�` �0 ---I-- 1 l n� \ q ---100,0 - — O 4-1Z 1 PrzoP vet�l�' C) CISTE Llv \ 1�. J�F<` N APPLICANT e 35; ii :7 /!' WELL y' 1( 7�I 7 SUFFOLK COUNTY DEPT. OF HEALTH 1 WELLI — - Q°��,U / SERVICES - FOR APPROVAL FOR C POOL i 'ii i r — / , ft GONSTR}� T ONLY i P ' % i I DATE dU� PROP. HO, 1pJ it I a I ' 1\--' H.S.REF.NO.. P�D /— 1C_ vo r9 P��iE!i 30• DRocc 1 /-fa. ` APP ' # i r'� ,,,,-WELL 1 t) ��l ti, ..._ - ..� _ ` ES' w 1• Ig i l9 SUFFOLK CO.TAX MAP DESI.•NATION:' lit lU / `" 1 ' I 3 a -•� DIST SECT. BLOCK PCL. �0 ii% 'A t 1'Q ` 1000 111 A.,' 4 17 i c'root._=Y0' , a:( �� 1 m OWNERS ADDRESS: .' I I SCALE'S0=I 34 KI NG58URY ROAD I so%ecPa' j vi ' 0= 40NUMENT GARDEN CITY,N.Y. 41530 ' ,— —1�+I5.4 - 's 1 �'I'#PE I BURIED 4' �� iti-72 5030�`'Al. 100,0 �\ No AREP..15,000 SQ.PT, N95 o11 I a'.5-41 -6. DEED: L. 51392 P.199 IKIZALAC^ viZ1"�DStZi 4 Olt . . — I I — pg©Ei TESTHOLE STAMP `r.E5.) " Uar• — SE:PTIG l°f - - UnauttwtaedaSta,nuonorald e • ' -\ <`�EA sectiois 7208 orvey f he�New Yarlc State J I HARK I�ZOVJPi Edumflor Law. JUN 16 1994 - . - 4 • Copies orals surety impact bearing 6 She land surveyors hiked seal or - B t-,.. embossed seal shag net be considered a beavalidtrue wpA . MAP OF PRO P --T`! S.C. DEPT. OF LTM LOAM auaranfee3)ft d than MI NOTE 1.5` only toatep tec fond=thesurva/ HEALTH SERVICES BROWN fspreparad and nrytllebehalf cothe ' SUIZVEYEP FO re: ELEVAT#QN5 2EFE(Z.TO MEAN SEA-t.EVEL, Me company,governmental agercyand SILTY ShNO fencing lnse+heon Ilat.^d harem and — r%(fes}f -1 Df-- to the asstyress of the lendir-;tr-1- rI 1 (�'•`' } 1 L' .4\\ 11r. 1 t� g� Yo�;i G•.w:r..z^c r-. .;:C..R, rr_ --- — —-- — — -- ME BROWN or,;:: hT ..FINE 130 . - -- ,.03RRS@SANQ SEAL • NEW SUFFOLK_ •11,3. �,. ©F ;NEP,: - ToWN OF SOUTHO_D NY .,-o ac 1144,'iQ,q- PLEASE NOTE `^DEQ=N ', ����. - A5 SURVEYED _ : JUNE 14 1994 PAt :,131ZO�tJN , ''* - . i, *_ It is the appUca"fes re rs'*lift), to Ron cK�fvgtr r7vL.-P.c COARSE '_� �C4l maintain adequate sanitary ai ;lance -- I =ryseo SUPNo.VS 2503. - betweel all water supply and ;swage _t:ICENSED'LAND SURVEYORS 1$, �-'..,,,,,fe . disposal facilities. - - , ' : REENPORT, NEW-YORK